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TR Report 06-06-2022 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Ty Penserga OFFICE USE ONLY Name RECEIVED at� (2) P.O. Box 742831 JUN 6 2022 Address (number and street) Boynton Beach, FL 33474 CITY OF BOYNTON BEACH City, State, Zip Code CITY CLERK'S OFFICE ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑✓ Candidate Office Sought: Mayor, City of Boynton Beach ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure(IE) (also covers an [' Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 3 / °Li /)C.xj, To C (43 / Report Type: 1-/ X] Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , C . Expenditures $ , /0 , LJLR1 Loans , 0 C Transfers to Office Account $ , Total Monetary $ C . Total Monetary $ , � C In-Kind $ , (' . o (8) Other Distributions $ C e: c (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Kim LeeBove (Type name) Ty Penserga ❑ Individual(only for IE El Treasurer ❑ Deputy Treasurer El Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X 4. • i / j b — . X f / . Signature Signatures DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Ty Penserga (2) I.D. Number 00000 (3) Cover Period 03/04/2022-06/06/2022 (4) Page 0 of 0 (5) (7) (8) (9) (10) (1 1) (12) Date Full Name Contributor (6) (Last,Suffix,First.Middle) In-kind Sequence Street Address& Contribution Number City,State,Zip Code Type Occupation Type Description Amendment Amount Nothing to report on this form This form is based on DS-DE 13(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Ty Penserga (2) I.D. Number 00000 (3) Cover Period 03/04/2022-06/06/2022 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last.Suffix,First,Middle) Purpose Sequence Street Address Si /add office sought if Expenditure Number City,State.Zip Code contribution to a candidate) Type Amendment Amount 03/08/2022 Cornerstone Solutions Event Expenses MON $ 1200.41 9200 Belvedere Road, Suite 202 West Palm Beach, FL 33411-0000 1 04/08/2022 Cornerstone Solutions Direct Mail Services MON $5456.00 9200 Belvedere Road, Suite 202 West Palm Beach, FL 33411-0000 2 04/08/2022 Cornerstone Solutions Direct Mail Services MON $2500.00 9200 Belvedere Road. Suite 202 West Palm Beach. FL 33411-0000 3 04/08/2022 Cornerstone Solutions Grassroots Services MON $ 500.00 9200 Belvedere Road. Suite 202 West Palm Beach. FL 33411-0000 4 04/08/2022 Cornerstone Solutions Campaign T-shirts MON $789.80 9200 Belvedere Road. Suite 202 and Collateral West Palm Beach, FL 33411-0000 5 This form is based on DS-DE 14(Rev.11/13) Adjutant VVorkshop,Inc -Campaign ToolBox